Most Relevant Information
Provider Data
| NPI Number: | 1003522210 |
| Provider Name: | KELLEY PRICE |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | C2290 |
Most Important Dates
| Enumeration Date: | 01/31/2023 |
| Last Updated: | 01/31/2023 |
Provider Practice Location
145 SHADY LAKE DR
SHADY SPRING
WV
259188461
Practice Location Phone/Fax
| Phone: | 3045780008 |
| Fax: |
Provider Mailing Location
145 SHADY LAKE DR
SHADY SPRING
WV
259188461
Provider Mailing Phone/Fax
| Phone: | 3045780008 |
| Fax: |